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1164704920
SUSANNE TAYLOR MALLON
SPRINGVALE, ME
NPI
1164704920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ME ST2099)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
Miss SUSANNE TAYLOR MALLON M.A.
469 MAIN ST SUITE #102
SPRINGVALE, ME 04083-1870
Phone number: 207-324-2228
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Mailing Address
Miss SUSANNE TAYLOR MALLON M.A.
469 MAIN ST SUITE #102
SPRINGVALE, ME 04083-1870
Phone number: 207-324-2228
Copy
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